Formula for Anesthesia Codes

Billing for anesthesia codes in DrChrono is based on the following formula:

Total Units = Base Units + Timed Units + Physical Status Modifier Units



Definitions

Base Units—The Centers for Medicare and Medicaid Services (CMS) assigns base units for each anesthesia procedure code.                                          These base units are loaded into DrChrono and will apply automatically based on the anesthesia code entered.

Timed Units - The total minutes spent with the patient divided by 15.  1 Timed Unit = 15 minutes with the patient

Physical Status Modifier Units - 

P1    A normal healthy patient    None    
P2    A patient with mild systemic disease    None    
P3    A patient with severe systemic disease    15 Minutes    1
P4    A patient with severe systemic disease that is a constant threat to life    30 Minutes    2
P5    A moribund patient who is not expected to survive without the operation    45 Minutes    3
P6    A declared brain-dead patient whose organs are being removed for donor purposes    None



We will display an information icon to show how the units were calculated.